The fact is that nothing affects the health of your thyroid more than your iodine intake. Today, I want to talk to you about another reason why avoiding vitamins with iodine is the right idea for your health.
There are three different ways in which your iodine intake can become a serious problem:
Iodine deficiencies of under 50 micrograms (mcg), per day, can lead to higher rates of goitrous thyroid enlargement long term. The most severe deficiencies, under 20 mcg per day, can also lead to hypothyroidism. (Read:Â How much iodine do you need?)
Even a brief high dose (over 1100 mcg), or an ongoing intake above 300 mcg, can slow the activity of the thyroid gland. This is through a mechanism called the Wolffe-Chaikoff effect (Read: Iodine not too much not too little).
The full range of iodine varies only from 90 mcg in pediatric populations to 290 mcg in pregnancy1. For those who are susceptible, this can also cause autoimmune thyroid disease (Hashimoto’s Thyroiditis and Graves’ Disease).
Key Insight: Goiters and nodules are also more common among those with higher iodine intakes when compared to control groups free of nodules and goiters (Read: Thyroid nodules the full story and how to treat them naturally). These issues are even more pronounced among adults and the elderly2.
Excessive iodine may also play its own role in thyroid cancer. People with thyroid cancer are also shown to have a higher iodine intake than controlled populations who are free of thyroid cancer3.
A substantial increase in iodine intake can unmask latent autoimmune thyroid disease. This is true even if the change stays within safe levels.
You read that right. Let’s consider a safe level of iodine between 100 – 300 mcg. If a group of people went from a typical intake on the low end and raised it by 100 mcg per day, they would expect to see an increase in autoimmune thyroid disease.
This exact instance happened in Denmark. In 1998, they became one of the most recent modern countries to start fortifying their salt intake with iodine.
For the following 16 years, they have shown an increased rate of:
In the graph below, you can plainly see that 1998 was the year of iodine fortification:
The average intake of iodine went up by only 66 – 70 mcg, yet the rate of autoimmune thyroid disease elevated by 53% in the initial years5.
The Danish study clearly shows the dangers of even minor changes in iodine intake. Because their iodine fortification occurred with adherence to the latest guidelines. They did it carefully, and yet it still caused a skyrocketing of thyroid disease.
The problem with iodine in vitamins starts with the issue of excessive iodine intake. Americans consume an average of 150 mcg of iodine daily (despite a wide range of dietary habits)6.
When supplemental iodine enters the mix, the amount can readily exceed safe limits. Furthermore, supplements that contain iodine may have higher amounts and more variable amounts than labels indicate.
In a recent study, 114 of the top brand of multivitamins were evaluated for their iodine content. Some were prescription prenatal supplements, and some were over-the-counter supplements.
All of them had added iodine and had a labeled amount of iodine per serving. Some had iodine from kelp, some had iodine from potassium iodine.
Key Insight: The most typically-labeled dose of iodine in multivitamins was 150 mcg, but they often ranged from 25 mcg to 300 mcg.
Researchers randomly selected 60 out of the 114 products and purchased them from retail locations as consumers would. They then took these purchased products and did lab analysis to find the actual iodine content.
They suspected that the increases in thyroid disease could be due in part to higher than expected and fluctuating amounts of iodine in vitamins.
The results absolutely shocked the scientists when they found:
When I ask thyroid patients to avoid all supplements with iodine, including multivitamins, some argue that their multi does not have all that much in it.
Sadly, when it comes to iodine, just a little extra might be all that it takes to trigger thyroid disease. Even if you think it is not all that much, the actual amount present may be very different.
Bottom Line: Multivitamins are a good idea. A carefully constructed diet will not supply all the recommended amounts of essential vitamins and minerals.
When I taught in medical school, I had young doctors log their diets and calculate their intake of vitamins and minerals. They were often always surprised to see that even healthy diets fall short in many common nutrients.
This is true even before considering variables in:
Key Insight: Even getting the basic recommended dietary allowance rarely happens from healthy diets.
If anyone wishes to run this experiment for themselves, Cronometer is a great app that can help. Sadly, it does not include iodine.
Some of the top nutrients people with thyroid disease tend to run low in include:
In closing, getting your iodine intake right is easy. If you have thyroid disease and are on thyroid medication, here’s what you should avoid:
Now that you know a bit more about iodine and why you should be avoiding it in vitamins, isn’t it time to get a better read on your overall health? Take the Thyroid Quiz today (Click Here), and unlock the action steps you can take to improve your overall health.
1 – https://ods.od.nih.gov/factsheets/Iodine-HealthProfessional/
2 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976240/
3 – https://www.eymj.org/DOIx.php?id=10.3349/ymj.2000.41.1.22
4 – https://www.dovepress.com/trends-in-treatments-of-thyroid-disease-following-iodine-fortification-peer-reviewed-fulltext-article-CLEP
5 – https://www.ncbi.nlm.nih.gov/pubmed/16868134
6 – https://apps.who.int/iris/bitstream/handle/10665/43781/9789241595827_eng.pdf;jsessionid=F949291CD011D44BDA1B3AFCCD3DA02C?sequence=1
P.S. Whenever you are ready, here is how I can help you now:
Dr. Alan Glen Christianson (Dr. C) is a Naturopathic Endocrinologist and the author of The NY Times bestselling Hormone Healing Cookbook, The Metabolism Reset Diet, and The Thyroid Reset Diet.
Dr. C’s gift for figuring out what works has helped hundreds of thousands reverse thyroid disease, heal their adrenals, and lose weight naturally. Learn more about the surprising story that started his quest.
Dr. Alan Christianson
Alan Christianson is a Naturopathic Medical Doctor (NMD) who is a board-certified Naturopathic Endocrinologist with a focus on thyroid disorders. He is the author of The Metabolism Reset Diet and the New York Times bestselling book The Adrenal Reset Diet.
He founded Integrative Health, a physician group dedicated to helping people with thyroid disease and weight-loss resistance regain their health.
He has been named a Top Doctor in Phoenix magazine and has appeared on national TV shows and in numerous print media.
Dr. Christianson resides in the woods by a lake in Northern Minnesota with his wife Kirin.
